Organization
THE DEVEREUX FOUNDATION
Active
Organization
THE DEVEREUX FOUNDATION
Active
Other names
Devereux Texas Treatment Network
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA E. REED (EXECUTIVE DIRECTOR)
(281) 316-5433
Entity
Organization
Contact information
Practice address
1150 DEVEREUX DR, LEAGUE CITY, TX 77573-2043
(281) 316-5433
(281) 554-7447
Mailing address
1150 DEVEREUX DR, LEAGUE CITY, TX 77573-2043
(281) 316-5433
(281) 554-7447
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
000718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021214401
—
TX
01
—
454085
MEDICARE PTAN
TX
Enumeration date
09/09/2016
Last updated
09/09/2016
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